老年疼痛管理中的麻醉后挑战。

Perianesthesia challenges in geriatric pain management.

作者信息

Paynter Doreen, Mamaril Myrna E

机构信息

Advanced Pain Management Center, Carroll Hospital Center, Westminster, MD 21157, USA.

出版信息

J Perianesth Nurs. 2004 Dec;19(6):385-91. doi: 10.1016/j.jopan.2004.08.007.

DOI:10.1016/j.jopan.2004.08.007

PMID:15801347

Abstract

The perianesthesia nurse is continually challenged to provide safe and effective pain management. This task becomes more difficult when working with an aging population. Success begins with understanding the challenges in controlling surgical pain and in communicating information regarding pain management prior to the surgery. Sharing of information between the patient, nurse, and other members of the health care team is essential. To provide quality pain care for geriatric patients, who are at greater risk for developing potentially life-threatening side effects of commonly used analgesics, the perianesthesia nurse must be knowledgeable about factors that affect pain management in this population. Common factors affecting pain control in the older adult patient include misconceptions regarding use and effects of analgesics, preexisting cognitive impairment, impaired communication, cultural differences between the nurse and the patient, and physiologic changes in aging that affect how drugs are metabolized.

摘要

麻醉后护理护士一直面临着提供安全有效的疼痛管理的挑战。当面对老龄化人群时，这项任务变得更加困难。成功始于了解控制手术疼痛以及在手术前传达有关疼痛管理信息方面的挑战。患者、护士和医疗团队其他成员之间的信息共享至关重要。为了给老年患者提供高质量的疼痛护理，而这些患者发生常用镇痛药潜在危及生命副作用的风险更高，麻醉后护理护士必须了解影响该人群疼痛管理的因素。影响老年患者疼痛控制的常见因素包括对镇痛药使用和效果的误解、先前存在的认知障碍、沟通障碍、护士与患者之间的文化差异以及影响药物代谢方式的衰老生理变化。